We talk so much about the age of misinformation, of myth and rumour being spread rapidly on social media. Sometimes we forget that misremembered stories, passed from one person to another over perhaps hundreds of years, are deeply embedded in our own thoughts and beliefs.
Between the Gloucestershire town of Dursley and village of Uley is a striking hill with an avenue of trees at its peak. Most modern maps refer to it as Downham Hill, but many locals know it as Smallpox Hill.

I’ve lost count of the number of stories I’ve heard about Downham Hill and the reasons behind its nickname. Some think that it was established as a medieval plague hospital, others add that it was later repurposed as a smallpox isolation hospital. There are stories about long-since vanished towers on the peak, and communal graves around the base of the hill. I’ve even heard a story associating it with Edward Jenner’s research into vaccination.
Some of these stories have been repeated for so long that they’ve even made it into ‘official’ signage. The last time I walked up Downham Hill a notice from Natural England, a public body advising the government, made a bold claim:
“Near the summit of the hill lie the remains of an ancient tower-like cottage built in the reign of King Edward III around the time of the Black Death in 1346. It is believed to be one of the earliest isolation hospitals in England. For this reason the hill has been known locally as ‘Smallpox Hill’.”
But is this backed up by the historical and archaeological evidence?
The ‘communal graves’
Let’s start with the easy part. There are certainly various small tumps on the slopes of the hill, which the Gloucestershire County Council Historic Environment Record Archive describes as pillow mounds. These are evidence of animal husbandry, specifically the raising of rabbits for meat and fur. The Historic Environment Record Archive also refers to evidence of medieval cultivation terraces on the slopes and post-medieval quarrying at the summit. Tellingly, the earliest Ordnance Survey map of 1830 describes it as Warren Hill.
The tower/’hospital’
I will confess that I have taken only a very brief dive into the limited historical and archaeological sources relating to the mysterious and undated tower-like structure. However I think we can conclude that it definitely did exist. The Uley Society are aware of an 1882 painting of a nearby farm showing the hill in the background with a crenellated tower which seems conclusive enough. But what was it?
The Uley Society also have accounts from previous local residents. One recorded that her family had owned Downham Hill since 1776 and knew the tower to date from the time of the Black Death. Another, born in 1899, was told in school that it was used during the Napoleonic Wars to house sailors “suffering from a form of ‘pox’”.
Written documentary sources are harder to come by but, during a severe smallpox epidemic between 1732 and 1735, the accounts of the Dursley Overseers of the Poor do make reference to victims and provisions for them being sent “up [th]e hill”.
From these various snippets of information it would be quite easy to construct a basic narrative that there was an isolation hospital of some sorts, from an unknown date. But are we just putting 2 and 2 together?
Why the ornamentation? Why crenellate your fever hospital? Why turn it into a tower? Why plant an avenue of trees (these are clearly present in 1830 when, according to most narratives, the tower was still standing)?
And why would the Royal Navy bring sailors to Gloucestershire, an unnecessarily long distance from any naval centres, for the purposes of isolation?
In The Parish Magazine for Berkeley, Dursley, Stinchcombe, and Uley dated April 1869, a request for information was made:
“An old man living in Uley says, that the Tower on the top of Downham Hill, was built as a summer-house, or ‘pleasure-house’ as he called it, by Mr. Gyde, the same person who built the more modern part of Stout’s Hill. He recollects its being used as a Pest-house, and says two men died there of smallpox some seventy years ago. His father was carried there with the same complaint, but he recovered – an unusual thing probably, after such singular treatment. Can any of our readers give any additional information about the Tower, or any other Pest-houses in the neighbourhood.”
The Gyde family purchased Stouts Hill in 1697 and the Gothic revival country house that remains to this day was built in 1743 by Timothy Gyde. Gyde was known for lavish parties and entertaining. Stouts Hill was later purchased by the Lloyd Baker family, who are also recorded as owning Downham Hill. Whilst the unamed Uley resident was sharing stories that he had been told, he was certainly closer to the events in question than the other residents previously mentioned.
Could it be that Gyde owned the hill and that the tower might have been constructed as a folly of sorts, perhaps with a decorative avenue of trees leading to it? This does not feature at all in the myths told now, and yet seems highly plausible from the surviving information.
But what of the father of the Uley resident, who had been carried to Downham Hill with smallpox around 1799? Stouts Hill was sold in 1785. Perhaps the tower then did find use as a convenient and isolated building to serve as an ad-hoc pest house, or isolation hospital? After all, surely nearly all myths have just a tiny grain of truth at the heart of them.
By the early 1900s the tower is said to have collapsed, leaving just stories and an evocative name.
Perhaps now is the time to repeat the plea of April 1869: can any of you give any additional information about the tower?
Sources
Counterpart lease for Downham Hill from Gloucestershire Archives (D3549/39/4/14).
Overseers’ Accounts from Gloucestershire Archives (P124/OV/1/1).
Anon. “Uley.” The Parish Magazine for Berkeley, Dursley, Stinchcombe, and Uley (April 1869).
Frith, Brian. “Some aspects of the history of medicine in Gloucestershire, 1500-1800.” Transactions of the Bristol and Gloucestershire Archaeological Society 108 (1990): 5-16.
Groom, Margaret. “Uley Archives.” Uley, Owlpen and Nympsfield Village News (February 2019): 12.
Poole, David. “Stouts Hill.” House and Heritage (2018).
Image credits
1830 Ordnance Survey map, sheet 35, showing area around Dursley and Uley. This work is based on data provided through www.VisionofBritain.org.uk and uses historical material which is copyright of the Great Britain Historical GIS Project and the University of Portsmouth.


